Angela Marie Grantham, OTRL, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201001150 Issued in MI

Practice address

1201 E Michigan Ave Ste 320
Jackson, MI 49201-1854

Phone

(517) 205-3897

Fax

(517) 205-7634

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1508369455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 320",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011854",
            "telephone_number": "517-205-3897",
            "fax_number": "517-817-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 320",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011854",
            "telephone_number": "517-205-3897",
            "fax_number": "517-205-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OTRL, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jean Grace, LBSW
• Brooklyn Granowicz
• Eric Michael Granowicz, M.D.
• Jennifer Alice Grant, MA LPC CAADC
• Jennifer Kelly Grant, LMSW
• Benjamin K Grapentine
• Madeleine Lee Grauer, FNP-BC
• Lauren Elizabeth Gravelyn
• Brytney Merrie Graves
• Sandra L Gray, PHARMACIST

• Occupational Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.